Graft choice For Anterior cruciate ligament Reconstruction Systematic Review | ||
| Al-Azhar University Journal of Medical and Virus Researches and Studies | ||
| Volume 7, Issue 1, December 2025, Pages 77-98 PDF (481.36 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aujv.2025.451608 | ||
| Abstract | ||
| There is no consensus regarding the best graft option for anterior cruciate ligament (ACL) reconstruction. Untreated ACL injury is often associated with instability as well as secondary meniscal and cartilage lesions. Review the evidence about different type of graft for ACL reconstruction to allow the surgeon to take a decision about what is the best graft. We conducted electronic search between January 2010 to March 2021 in different databases; PubMed, SCOPUS, Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL). We included randomized, nonrandomized trials that were published in English with full text available. We did not restrict our search to the age of gender of the patients. From a total 6912 screened citations, thirty studies met our inclusion criteria with a total 3159 cases. Most of included studies included patellar tendon (PT) and hamstring tendon (HT) while rest of studies evaluated variety of grafts; quadriceps tendon, anterior or posterior tibialis tendon, peroneus longus tendon, and artificial ligaments as alternatives. Both there was no difference between PT and HT autografts groups concerning different scores including Tegner activity score, the Lysholm functional score IKDC subjective and objective, Cincinnati knee, Lachman or pivot shift measurement. However, some evidence suggests that pivot-shift grades were higher in patients undergoing reconstruction with HT, but it had early restoration of activity. PT is associated with early pain and donor site morbidity. It is difficult to reach a solid conclusion for the best graft option, because the published data are heterogeneous in terms of the methodology used and consistency in reporting certain outcomes. However, we provided a comprehensive evaluation for evidence regarding graft options in the literature. | ||
| Keywords | ||
| Anterior cruciate ligament; patellar tendon; hamstring tendon | ||
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